Search › Connecticut › 363A00000X
Leah Bueneman, PA-C
NPI 1841835154 · on the registry since 2019
Practice
- Address
- 55 Willow St
Mystic, CT 06355 - Phone
- (860) 572-6868
- Organisation at this address
- Coastal Dermatology, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 1300 Hospital Dr Ste 120, Mount Pleasant, SC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- SC, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut